• Thu. Feb 29th, 2024

Breaking the Barriers: Prior Authorization in Health Care and Its Impact on Patients and Providers

ByEditor

Feb 12, 2024
The Health Wonk Shop: Prior Authorization in Health Insurance – A Tool for Cost Containment or a Barrier to Needed Care? (Virtual Event on Feb. 22)

In the past year, nearly 1 in 5 consumers with health insurance have experienced delays or denials of care due to prior authorization requirements. Prior authorization is a process used by insurers to limit unnecessary and ineffective care by requiring patients to obtain approval before specific services are covered. However, this practice has been under scrutiny for creating barriers to care for patients and adding paperwork for providers.

In response to these concerns, new rules have been finalized for how insurers use prior authorization in various health care plans. Additionally, lawmakers are considering broader legislation on the topic. On February 22 at noon ET, a panel of experts will discuss the future of prior authorization requirements in health care.

The panelists will explore the reasons for using prior authorization, its impact on patients and providers, and how the new regulations may change current practices. They will also consider the potential for future regulatory or legislative action to address ongoing concerns. The moderator for this event is Larry Levitt, Executive Vice President for Health Policy at KFF. The panelists include Troyen Brennan, MD, Fumiko Chino, MD, Anna Schwamlein Howard, and Kaye Pestaina. KFF’s virtual Health Wonk Shop series offers in-depth policy discussions with experts beyond the news headlines.

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